Thumb problems are common in some health professionals such as physical therapists. The purpose of this case-control study is to investigate the influence of clinical experience and different mobilization techniques on the kinematics of the thumb. Twenty-three participants without exposure to manual techniques the Novice Group and fifteen physical therapists with at least 3 years of orthopedic experience the Experienced Group participated.
High-pressure injection injury of the thumb. Reprint requests. High-pressure injection injuries of the hand are relatively rare but potentially devastating injuries.
We propose a modified Bilhaut-Cloquet procedure to avoid these complications. The skin is preliminarily marked, taking into account the excision of the central skin and the more hypoplastic nail of the two most often the radial nail. Both proximal phalanges are split longitudinally and the central halves discarded.
The evolution of opposable thumb in humans is considered to be a crucial feature in the development of fine and dexterous hand movements Napier, The opposable thumb can be considered to uniquely distinguish humans from other animals, including non-human primates. Thumbs in non-human primates are diminutive with the absence of complete opposition movements.
The purpose of this study was to characterize thumb motor dysfunction resulting from simulated lower median nerve lesions at the wrist. Bupivacaine hydrochloride was injected into the carpal tunnel of six healthy subjects to locally anesthetize the median nerve. Motor function was subsequently evaluated by measuring maximal force production in all directions within the transverse plane perpendicular to the longitudinal axis of the thumb.
PURPOSE: There have been few prospective studies evaluating the results of nonsurgical treatment of a well-defined patient cohort with symptomatic basal joint osteoarthritis of the thumb. This prospective study uses a validated outcome instrument to examine the effectiveness of a single steroid injection and 3 weeks of splinting in patients with osteoarthritis in Eaton stages 1 to 4 with a minimum of 18 months of follow-up evaluation. METHODS: Thirty consecutive patients 30 thumbs were studied prospectively to evaluate the efficacy of a single injection of corticosteroid into the trapeziometacarpal joint, followed by immobilization in a thumb spica splint for 3 weeks.
Trigger fingeralso known as stenosing tenosynovitisis a disorder characterized by catching or locking of the involved finger. Risk factors include repeated injury, diabeteskidney disease, thyroid disease, and inflammatory disease. Symptoms include catching or locking of the involved finger. In the ring and middle fingers, often a nodule can be felt at the area of the hand where the palm meets the finger.
John B. In a positive context, asset valuation models may be judged on the basis of their predictive ability rather than on the number and elegance of the underlying assumptions. The Average Daily Rate ADR rule-of-thumb has been used for decades as a quick way of estimating hotel and motel room rates and, more recently, as a simple gross-income multiplier model for predicting values of lodging properties.
European Journal of Plastic Surgery. In order to avoid pathological hyperextension in the distal joint, active stabilization of the metacarpophalangeal joint of the thumb can be restored by transposing and inserting the extensor indicis tendon in the proximal phalanx, at the same time maintaining the agonistic-antagonistic play of tendons. The different pathogenic forms and the surgical technique for correction of the deformity are demonstrated in this paper.